HomeMy WebLinkAbout0101632-Plumbing CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1100 EMMERS LN Owner
Contractor WATTERS PLUMBING Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 7 Water Softner 0 Drink Ftn 2 Serv Sink
Lavatory 3 Lndry Tray 1 LocaIWaste 0 Wait. St. 0 Shamp Sink
Toilet 3 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIrNVst Sink
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 3 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 1 Plaster Sink 0 Standp Rec
Roof Drain 2 Breakrm Sink 1 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 101632
Create Date 04/30/2003
Plan D2-32-0503-P
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/ New Walgreen's
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$21,790.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$150.00
Date 05/20/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
~v o! ~sl~kosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
FlAY 13 2003
'DEPARTMENT. OF_ =: .
Plum el m.cat on
O/HKO/H
ON THE WATER
I hereby apply for a permit to do and install the f.(.cl~ing plumbimz on the premises hereinafter described, the work to cOnform to the
eff6rmance of Which ali part/es hereto.agree to and are bound by said statutes.
Job Ad/dres~~ /,/,~..~, ~t - /~v'alue to~/~ 77a'~ Date :~.~ ~7-a~ ~
~Singl~ily ~~ ~lti-ramily ~Rental ~Commercial ~Industrial
Number of Fixtures:
l]athtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
l.avatory .3 Dishwasher Drink Ftn t~ _ Catch Basin
'l'oilct ~ Sump Pump Wait. St. Wash Ftn
[{cs. Sink I!jcctor/(;rind Icc Chest Urinal
Bar Sink Water Softncr Exam Sink Gar Drain
Water ! loafer ~ Ix)cai Waslc Set, try Sink ... Soda Disp
Shower Clothes Wshr l land Sink Coffee Maker
[:loot Drain t7 Bidet F Prep Sink Ice Maker
I.ndry Tray j Bccr Tap Scrv Sink Site Drain
Lab Sink / (']assrm Sink Iht Grease Trap Roof Drain
Plaster Sink Surgeons Sink I!xt (;roast Trap Standp Rqc
Stcrilizcr __~ · llreakrm Sin'k [ _
Electric Contractor
Use / Nature of Work
Size Material Type
Sanitary Sewer ~ ~
Storm Sewer
Water Service
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